General Consent & Procedure Permit
1. I hereby authorize Tiera Myers of Brow and Beauty Ink to perform the microblading/Ombre brow treatment upon myself. If any unforeseen condition arises in the course of this procedure(s), calling in their judgement in addition to, or different from those now contemplated, I further request and authorize the technician to do whatever they deems advisable and necessary in the circumstances.
2. I accept responsibility for determining the color, shape, and position of the permanent cosmetic procedure as agreed during the course of my consultation.
3. I understand that an allergy test does not guarantee that I will not have an allergic reaction to the pigment.
4. I fully understand and accept that non-toxic pigments are used during the procedure and that the cosmetic enhancement achieved may fade in between 1-3 years.
5. I have been informed that the highest standards of hygiene are met, and that sterile disposable needles, and pigment containers are used for each individual client, procedure and visit.
6. I understand and accept that each procedure is a process requiring multiple applications of pigment to achieve desirable results and that 100% success cannot be guaranteed. I understand this is why I need to return for a retouch procedure.
7. I understand that a retouch procedure will be performed 6-8 weeks after the initial procedure. After the 8 week period I will be charged an additional fee for any further work. I will book the appointment when it is convenient for both parties.
8. The result of the procedure is determined by the following: - Medication - Skin Characteristics - (dry, oily, sun-damaged and thickness) - Natural skin undertones: blending with chosen pigment - excessive bleeding - Personal pH balance of skin, which changes from visit to visit - Alcohol intake and smoking - Rx and OTC medications - Post procedure care treatment
9. Upon completion of the procedure there may be swelling and redness of the skin, which will subside in 1-4 days. In some cases bruising can occur. You may resume normal activities immediately following the procedure, however, using cosmetics, excessive perspiration wetting and exposure to the sun on the affected area should be limited. See specific post-procedure instructions for details. You can however, be assured the procedure, even after only one treatment, looks acceptable and you should feel comfortable appearing in public without additional makeup on the affected area.
10. I have been advised that the true color will be seen 1 month after each procedure, and that the pigment may vary in color according to skin tones, skin type, age and skin conditions. I understand that some skins except pigment more readily than others and no guarantee to an exact effect or color can be given.
11. To my knowledge I do not have any physical, mental, or medical impairment or disability that might affect my well being as a direct or indirect result of my decision to have the procedure done at this time. I am at least 18 years old and I am not under the influence of drugs or alcohol, pregnant or breastfeeding.
12. I agree to follow all pre-procedure and post-procedure instructions as provided and explained to me by the technician.
13. Being of sound mind and body, I hereby accept any and all responsibility myself for any consequence that might stem from my decision to have any permanent cosmetics procedure performed by Tiera Myers